The Illinois Department of Health has cited and fined Integrity Healthcare of Anna when, according to state investigators and facility records, the facility repeatedly failed to follow through on referrals for a resident with suspicious masses identified on imaging, delaying his cancer workup and treatment over a period of months. The state issued an Immediate […]
Integrity Healthcare of Anna Cited After Repeated Failures to Complete Cancer Referrals Delayed Resident’s Cancer Workup and Treatment
Evercare of Breese Cited After Two Residents Sustain Fractures Following Falls Involving Staff Assistance
The Illinois Department of Health has cited and fined Evercare of Breese when, according to state investigators and facility records, two residents sustained fractures after the facility failed to properly transfer them during incidents involving staff assistance — one when a wheelchair moved during a one-person transfer and the resident fell to the floor, sustaining […]
Axiom Healthcare of West Frankfort Cited After Resident with Repeated Falls Suffers Facial Fractures Following Failure to Consistently Implement Fall Prevention Plan
The Illinois Department of Health has cited and fined Axiom Healthcare of West Frankfort when, according to state investigators and facility records, a resident with Parkinson’s disease and a long history of falls sustained a closed fracture of the left orbit and left maxilla after the facility failed to consistently implement the fall prevention interventions […]
Arcadia Care On The Hill Cited After Delayed Scheduling of Resident’s Urgent Foot Surgery Allegedly Contributed to Greater Amputation Due to Spreading Infection
The Illinois Department of Health has cited and fined Arcadia Care On The Hill in Springfield, Illinois when, according to state investigators and facility records, the resident’s podiatrist reported that the facility failed to return his repeated calls over the course of approximately a week as he attempted to schedule an urgent foot surgery for […]
Allure of Pinecrest Cited After Director of Nursing Replaces Resident’s Urinary Catheter Feeding Tube, Tube Later Migrates into Small Intestine Causing Bowel Obstruction and Pancreatitis
The Illinois Department of Health has cited and fined Allure of Pinecrest in Mount Morris, Illinois when, according to state investigators and facility records, the Director of Nursing replaced a urinary catheter that was being used as a temporary feeding tube without consulting the physician about the replacement, without a facility policy specifically governing the […]
Ahva Care of Stickney Cited at Immediate Jeopardy Level After Resident Found Unresponsive Did Not Receive Effective CPR Prior to Hospital Transfer
The Illinois Department of Health has cited and fined Ahva Care of Stickney when, according to state investigators and facility records, a newly admitted resident found unresponsive did not receive effective continuous cardiopulmonary resuscitation, and emergency medical services were not promptly called, contributing to what investigators described as a delayed and compromised emergency response before […]
Montgomery Place Cited After Resident Suffers Femoral Fracture During Solo Sit-to-Stand Lift Transfer
The Illinois Department of Health has cited and fined Montgomery Place, a nursing home in Chicago when, according to state investigators and facility records, a certified nursing aide performed a sit-to-stand mechanical lift transfer alone — without a second staff member present despite the resident being assessed as dependent for transfers requiring two or more […]
Mattoon Rehab & Health Care Center Cited After Resident’s Wound Dressings Went Unchanged for More Than Two Weeks, Resulting in Multidrug-Resistant Infection and Hospitalization
The Illinois Department of Health has cited and fined Mattoon Rehab & Health Care Center when, according to state investigators and facility records, a resident’s leg wound dressings went unchanged for more than two weeks, and her wounds deteriorated significantly with copious drainage and odor. The resident was hospitalized for cellulitis in both legs, a […]
Landmark of Oak Lawn Cited at Immediate Jeopardy Level Following Resident’s Severe Pressure Wound and Hospitalization for Sepsis and Necrotizing Fasciitis
The Illinois Department of Health has cited and fined Landmark of Oak Lawn Rehab and Nursing Center when, according to state investigators and facility records, a resident admitted to the facility with no documented wounds later developed a severe pressure wound on her sacrum and was hospitalized weeks later with sepsis, an unstageable decubitus ulcer, […]
Heartland Senior Living Resident Falls in Bathroom After Call Light Goes Unanswered
The Illinois Department of Health has cited and fined Heartland Senior Living in Neoga, Illinois when a resident’s bathroom call light was not promptly answered while one staff member stood at the nurses’ station and was not paying attention to the call light panel and another assumed someone else would respond. The resident, who had […]
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